南方湿热环境下师以下部队伤员医疗后送对策研究

发布时间：2019-05-11 23:39

【摘要】：目的：根据南方湿热环境下战伤感染与休克的实验研究成果和历次战争以及外军湿热环境下作战的经验教训，探讨我军南方湿热环境下师以下部队伤员医疗后送体制的不足并提出改进意见。资料与方法：通过文献查阅与部队调研，运用逻辑学和运筹学方法，根据第一军医大学南方医院骨科及高温研究室对湿热环境下模拟战伤动物实验的结果，结合1979年和1984年西南边境自卫反击战和美侵越战争中师以下部队伤员医疗后送的经验教训，分析了我军现有医疗后送体制中的战伤分类、分级救治、后送工具、救治技术、系统环境的缺陷和不足。结果与分析：根据湿热环境下战伤感染和休克的特点，战伤伤员需要在3～4小时进行早期清创，休克伤员60分钟内必须补液。因此我军现行的6～8小时内在师救护所实行早期清创和3～4小时内在团救护所补液的体制不适合南方湿热环境下战伤感染与休克的救治要求。对策和建议：1．在连抢救组即进行分类，以便分出需及时进行清创和抗休克治疗的重伤员；2．取消营救护所，减少后送阶梯，提高后送速度；3．提高后送工具的质量和数量；4．优化救护场所的舒适性，，减少微小湿热环境对伤员的影响；5．改进抗感染与抗休克技术，及时有效地对伤员进行救治。
[Abstract]:Objective: according to the experimental research results of war wound infection and shock in the humid-hot environment of southern China and the experience and lessons of the past wars and the combat in the humid-hot environment of foreign troops, This paper probes into the shortcomings of the medical evacuation system for the wounded under the humid and hot environment in the south of our army, and puts forward some suggestions for improvement. Materials and methods: through literature review and military investigation, logic and operational research methods were used to simulate the animal experiment of war injury in wet and hot environment according to the results of orthopaedics and high temperature laboratory of Southern Hospital of the first military Medical University. Based on the experience and lessons of medical evacuation of the wounded in the southwest border self-defense counterattack war and the US invasion and Vietnam War in 1979 and 1984, this paper analyzes the classification of war injuries, hierarchical treatment, evacuation tools and treatment techniques in the existing medical evacuation system of our army. The defects and shortcomings of the system environment. Results and analysis: according to the characteristics of war injury infection and shock in humid and hot environment, the war wounded should be debridged early in 3 hours and 4 hours, and the shock wounded must be rehydration within 60 minutes. Therefore, the current system of early debridement in division ambulance and rehydration in regiment ambulance within 6 hours and 4 hours in regiment ambulance is not suitable for the treatment of war injury infection and shock in the humid and hot environment of the south. Countermeasures and suggestions: 1. Classify in the company rescue group in order to identify the seriously injured who need to be treated with debridement and antishock treatment in time. 2. Cancel the rescue and nursing center, reduce the evacuation ladder, and improve the evacuation speed; 3. Improve the quality and quantity of evacuation tools; 4. Optimize the comfort of ambulance sites and reduce the impact of micro-humid and hot environment on the wounded; 5. improve anti-infection and antishock techniques to treat the wounded in a timely and effective manner.
【学位授予单位】：第一军医大学
【学位级别】：硕士
【学位授予年份】：2004
【分类号】：R82

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